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General NPI Number Information
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NPI Number | 1063216737
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Entity Type | Individual
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Provider Name | JONANA LOU OPENA BUISON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 180 E LELAND RD
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City | PITTSBURG
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State | CA
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Zip | 94565-4949
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Country | US
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Telephone | 925-566-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 36 GRETSTONE PLACE
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City | PITTSBURG
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State | CA
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Zip | 94565
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Country | US
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Telephone | 510-676-8301
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95032702
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License Number State | CA
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